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r <br />I <br />-_ 0694804 GREAT AMERICAN ALLIANCE INS CO <br />Administrative offices CG 20 2 6 E d. 0 7/ 0 4 <br />301 E 4th Street ( ) <br />GRE MERICAN Cincinnati, Ohio 45202 -4201 <br />INSURANCE GROUP tei:5133695000 P o I i c y: PAC 5 15-46-80 0 7 <br />THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. <br />ADDITIONAL INSURED -- DESIGNATED OR ORGANIZATION <br />This endorsement modifies insurance provided under the following: <br />COMMERCIAL GENERAL LIABILITY COVERAGE PART <br />SCHE <br />ame of Person or Organization: <br />THE CITY OF SANTA ANA, ITS OFFICERS, AGENTS, <br />EMPLOYEES AND VOLUNTEERS, AND THE STATE OF CALIFORNIA, <br />ITS OFFICERS, EMPLOYEES, AND VOLUNTEERS <br />CITY OF SANTA ANA, WORKFORCE INVESTMENT BOARD <br />1000 E. SANTA ANA BLVD., STE. 200 <br />SANTA ANA, CA 92702 <br />HERE REQUIRED BY WRITTEN CONTRACT, <br />EVISION OF OTHER INSURANCE CLAUSE <br />RIMARY INSURANCE: <br />THIS INSURANCE IS PRIMARY AND ANY OTHER INSURANCE MAINTAINED BY <br />SUCH ADDITIONAL INSUREDS IS NONCONTRIBUTING WITH THIS INSURANCE <br />4S RESPECTS LEGAL LIABILITIES OR CLAIMS CAUSED BY, ARISING OUT OF <br />DR RESULTING FROM THE ACTS OR OMISSIONS OF THE NAMED INSURED, OR <br />DF OTHERS PERFORMED ON BEHALF OF THE NAMED INSURED. <br />LL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED. <br />Information required to complete this Schedule, if not shown above, will be shown in the Declarations. <br />SECTION II - WHO IS AN INSURED is amended to include as an Additional Insured the person(s) or <br />organization(s) shown in the Schedule, but only with respect to liability for "bodily injury," "property damage" or <br />"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or <br />omissions of those acting on your behalf: <br />A. in the performance of your ongoing operations; or <br />B. in connection with your premises owned by or rented to you <br />S? As 10 VORM <br />L1SA qty Attorney <br />Assistant C <br />Copyright, Insurance Services Office, Inc., 1984 <br />I CG 20 26 07/04 (Page 1 of 1 ) <br />